Displaying 119741-119750 of 1611142 results.
ID:
119741
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119742
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
119743
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
119744
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119745
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
119746
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
119747
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119748
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1359129
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119749
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119750
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
899511
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
119741119742119743119744119745119746119747119748119749119750